NPI | 1396380655 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CT 11693) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NY F344910) |
Enumeration Date | 2019-11-11 |
Last Update Date | 2023-03-13 |